A5105126151- Gastrointestinal Tumor Research and Treatment
- Gastrointestinal disorders and treatments
- Esophageal and GI Pathology
- Pediatric Hepatobiliary Diseases and Treatments
- Gallbladder and Bile Duct Disorders
- Lymphoma Diagnosis and Treatment
- Intestinal Malrotation and Obstruction Disorders
- Pancreatic and Hepatic Oncology Research
- Liver Diseases and Immunity
- Cardiac Valve Diseases and Treatments
- Diverticular Disease and Complications
- Liver Disease Diagnosis and Treatment
- Aortic Disease and Treatment Approaches
- Intestinal and Peritoneal Adhesions
- Hepatocellular Carcinoma Treatment and Prognosis
- Neonatal Health and Biochemistry
- Irrigation Practices and Water Management
- Intraperitoneal and Appendiceal Malignancies
- Thyroid and Parathyroid Surgery
- Hypertrophic osteoarthropathy and related conditions
- CNS Lymphoma Diagnosis and Treatment
- Gastroesophageal reflux and treatments
- Eosinophilic Esophagitis
- Mechanical Circulatory Support Devices
- Gastrointestinal motility and disorders
Complejo Asistencial Universitario de Palencia
2023-2025
Autoimmune hepatitis (AIH) is an immune-mediated disease characterised by elevated transaminases, immunoglobulin G and autoantibody positivity. Treatment based on corticosteroids azathioprine. Up to 15% of patients will require a second line treatment, with remission rates after this about 60-75%. There controversy what the next step treatment should be. We present case woman diagnosed IAH who failed several lines had start infliximab despite off-label indication, but favorable clinical response.
Ogilvie syndrome is a functional disorder of colonic motility that causes acute and progressive dilation, which can lead to necrosis perforation. Early diagnosis management are essential avoid serious complications. The case patient with refractory medical endoscopic treatment required surgery presented. This 68-year-old man decreased level consciousness abdominal distension for 3 days. Last bowel movement 4 days ago. data tests appear in table 1. We faced neurological alteration...
Colonic diverticula develop at specific weak spots, where the vasa recta enter colonic circular smooth muscle layer.1 They are usually seen in left colon. Their most common complication is diverticulitis, with mild cases resolving even without antibiotic therapy.2 Right-side diverticulitis develops only 1.5% of cases, primarily on anterior aspect cecum, proximal to ileocecal valve (80%).4 Given its low incidence, location, and fact that it involves younger patients, a differential diagnosis...
The most common extranodal localization of lymphomas is the small intestine, with large B-cell lymphoma and MALT being typical types. Intestinal follicular are an infrequent entity; however, due to improved endoscopic definition, diagnosis more ando common. We present case a 56-year-old woman diagnosed lymphoma, entity that, although infrequent, has appearance. Recognition features described in this article may help guide entity, which, on occasions, indolent clinical course.
Protein-losing enteropathy is a relatively uncommon syndrome characterized by excessive loss of proteins into the intestinal lumen. It can be caused various etiologies. Inflammatory bowel disease (IBD) first condition we think when meet patient with ulcers and hypoproteinemia. However, there are many other complicated novel etiologies, which must aware in order to perform an appropriate differential diagnosis, such as one present.
The most prevalent tumor in women worldwide is breast cancer. Although liver metastases are relatively frequent, pancreatic involvement unusual. In the case of jaundice patients with a history neoplasia, initial diagnosis focused on ruling out hepatic infiltration. However, it essential to consider other, less common but related etiologies biliary obstruction. frequent metastatic usually as nodular lesions; nevertheless, diffuse parenchymal infiltration also possible, illustrated following case.
Endoscopic retrograde cholangiopancreatography (ERCP) is one of the most frequently performed procedures in treatment biliary-pancreatic diseases. Hematoma after ERCP an infrequent and highly serious complication. We present three cases with hepatic hematoma a CPRE.
Transcatheter arterial chemoembolization (TACE) is currently one of the standards treatment for unresectable hepatocellular carcinoma in intermediate stage. It a minimally invasive procedure whose adverse outcomes are well documented. Among those considered uncommon, we find skin outcomes. We report 73-year-old man who, after undergoing TACE, develops necrotic retiform purpura due to occlusion microcirculation cutaneous and subcutaneous tissue caused by migration doxorubicin spheres. This an...
We present the case of a 77-year-old male patient with iron deficiency anemia. His personal medical history is: dyslipidemia, high-grade diffuse centrofollicular lymphoma localized in tonsil 1984 and metastatic prostate cancer treated hormone therapy.
We report the case of a middle-aged man who had undergone two diagnostic laparoscopies with no significant findings after he was attended at emergency department cramping pain, abdominal distention and vomiting, radiological images simulating small bowel obstruction. After multiple hospitalisations an extensive set tests, including genetic study, diagnosed chronic pseudo-obstruction, uncommon, unrecognides syndrome high morbidity. Being aware this pathology can make it easier to diagnose,...
Intestinal pneumatosis (IN) is an uncommon radiological finding defined as the accumulation of air in gastrointestinal tract wall. Its clinical signs are nonspecific and include symptoms such diarrhea or abdominal pain. It includes benign entities (with subtle form cysts that appear clustered nodular lesions on endoscopy, collapsible soft); severe cases (symptoms indicative general health compromise linear free fluid suggestive hollow viscus perforation); which require different management....